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  • Der Unfallchirurg · Oct 2014

    Comparative Study

    [Benign bone tumors : General principles].

    • A Hillmann and T Gösling.
    • Orthopädische Klinik, Klinikum Ingolstadt, 85049, Ingolstadt, Deutschland, Axel.Hillmann@klinikum-ingolstadt.de.
    • Unfallchirurg. 2014 Oct 1; 117 (10): 873-82.

    BackgroundBenign bone tumors and tumor-like lesions are much more frequent than malignant bone tumors among the total number of tumors of the skeleton.ObjectiveThis article gives a presentation of the characteristics and treatment modalities of benign bone tumors.Material And MethodsIn this article in-house treatment principles are compared with those in the currently available literature.ResultsBenign bone tumors are frequently found incidentally; however, the term benign does not always signify that a purely observational role is needed. Benign bone tumors differ in their biological behavior and can be latent, active or aggressive which determines the treatment approach. Some benign bone tumors are just as aggressive locally as malignant tumors. The most important diagnostic feature is still conventional radiography and a thorough systematic analysis is necessary. Therapy options range from ignore, wait and see up to wide resection. In contrast to malignant tumors the radicalism of resection can be weighed against the accompanying local control and loss of function.ConclusionThe treatment of benign bone tumors depends on the histological type and the biological activity. Most benign bone tumors are diagnosed incidentally and do not necessitate any treatment.

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